Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jasmine Wiley, MD

Individual provider Family Medicine Physician · NPI 1568889020

Dr. Jasmine Wiley, MD is a Family Practice in Shawano, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2014, 12 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 524-2161
Fax: (715) 524-8164
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 — (414) 649-7909

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 64844-020 (WI)

Record details

NPI number1568889020
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2014
Last updated in NPPESJuly 21, 2022
Mailing address122 E College Ave Ste 250, Appleton, WI 54911-5794

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Shawano